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ISRCTN
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ISRCTN15493767
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ClinicalTrials.gov identifier
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Public title
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The costs and benefits of post-natal midwifery support - a randomised controlled trial
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Scientific title
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Acronym
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N/A
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Serial number at source
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HTA 94/22/24
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Study hypothesis
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This study aimed to measure the effect and the total cost per woman of providing postnatal support at home, based on a Dutch model. The research hypothesis was furnished by some existing evidence that postnatal support could reduce the risk of postnatal depression and encourage breastfeeding.
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Ethics approval
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Not provided at time of registration.
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Study design
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Randomised controlled trial
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Countries of recruitment
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United Kingdom
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Disease/condition/study domain
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Pregnancy and childbirth: Childbirth
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Participants - inclusion criteria
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All women who delivered a baby at the recruiting hospital were eligible to take part in the trial if they lived within the study area, were aged 17 years or over, and could understand English.
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Participants - exclusion criteria
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Not provided at time of registration.
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Anticipated start date
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01/06/1996
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Anticipated end date
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31/08/1998
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Status of trial
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Completed |
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Patient information material
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Target number of participants
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Not provided at time of registration.
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Interventions
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The randomised controlled trial aimed to measure differences in health status in a group of women who were offered postnatal support from a community midwifery support worker (SW) compared with a control group of women who were not offered this support. Women were followed-up by postal questionnaire at 6 weeks and 6 months postnatally.
The intervention consisted of the SW offering practical and emotional support and to help women rest and recover after childbirth. The SW offered ten visits in the first 28 days postnatally, for up to 3 hours per day. The SW's activities included housework, talking with the mother, and care for the baby or other siblings. The service was provided in addition to routine visits by the community midwife.
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Primary outcome measure(s)
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The primary outcome was the general health perception domain of the Short Form-36 at 6 weeks.
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Secondary outcome measure(s)
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Secondary outcomes were mean Edinburgh Postnatal Depression Scale (EPDS), Duke Functional Social Support (DUFSS) scores and breastfeeding rates.
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Sources of funding
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NIHR Health Technology Assessment Programme - HTA (UK)
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Trial website
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Publications
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2000 HTA monograph in http://www.ncbi.nlm.nih.gov/pubmed/10858637
2000 results in http://www.ncbi.nlm.nih.gov/pubmed/10977833
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Contact name
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Ms
Jane
Morrell
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Address
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Institute of General Practice and Primary Care
University of Sheffield
Northern General Hospital
Herries Road
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City/town
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Sheffield
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Zip/Postcode
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S5 7AU
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Country
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United Kingdom
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Tel
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+44 (0)114 249 2500
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Fax
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+44 (0)114 272 4095
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Email
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j.morrell@sheffield.ac.uk
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Sponsor
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Department of Health (UK)
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Address
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Quarry House
Quarry Hill
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City/town
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Leeds
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Zip/Postcode
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LS2 7UE
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Country
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United Kingdom
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Email
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Sheila.Greener@doh.gsi.gov.uk
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Sponsor website:
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http://www.dh.gov.uk/en/index.htm
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Date applied
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25/04/2003
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Last edited
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27/08/2009
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Date ISRCTN assigned
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25/04/2003
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